DR. KANIKA ALAKE BOWEN-JALLOW (MD) – Pediatric Surgery Physician, NPI 1760686364
Pediatric Surgery Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KANIKA ALAKE BOWEN-JALLOW (MD)
301 University Blvd
3.220
Galveston, TX 775555302
Phone: (409) 772-5556
Type: Location
301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States
3.220
GALVESTON, TX 775555302
Phone: (409) 772-5666
Type: Mailing
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-6483
Fax: (682) 885-3113
Type: Mailing
4200 W UNIVERSITY DR
PROSPER, TX 750789805
Phone: (682) 303-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $603.
Total Amount is formed as General ($603) + Research ($0) + Ownership ($0) = $603.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($175).
Total Amount
$603
General + Research + Ownership
Payments
14
Total payment records
General Amount
$603
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $175 |
| Intuitive Surgical, Inc. | $134 |
| Hologic Sales and Service, LLC | $115 |
| Baxter Healthcare | $99 |
| CONMED Corporation | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160208002059 | I | General Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77555)
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